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Variety of delivery options including next day & free delivery.
Pharmacy, clinic and prescribers based in Greater Manchester.
Start your treatment with a quick and free online consultation.
Fill in a quick online consultation for our licensed pharmacists to review.
Our pharmacists will review your treatment to ensure it’s suitable.
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| Medication Name | Guardium Acid Reflux Control |
|---|---|
| Type and Form of Medicine | Gastro-resistant tablets (PPI) |
| What it Does | Short-term relief of reflux symptoms like heartburn and acid regurgitation |
| Active Ingredient | Esomeprazole (as esomeprazole magnesium) |
| Strength | 20 mg |
| Size | Available in packs of 7 or 14 tablets |
| Patient Information Leaflet | Guardium Acid Reflux Control Patient Information Leaflet |
Guardium Acid Reflux Control tablets help reduce the amount of acid your stomach makes. They’re used by adults who regularly get symptoms like burning in the chest (heartburn), acid coming up into the throat, or a sour taste in the mouth caused by acid reflux.
Guardium contains esomeprazole, a proton pump inhibitor (PPI). It blocks the action of proton pumps in the stomach lining that produce acid. By lowering stomach acid levels, it helps reduce irritation and discomfort caused by acid travelling back up the food pipe (oesophagus).
Guardium is suitable for adults aged 18 and over. It is not recommended for children or adolescents under 18.
You should not take Guardium Acid Reflux if:
Speak to your GP or pharmacist before using Guardium if you:
If you have difficulty swallowing:
You may need to take the tablets for 2-3 days in a row before you feel an improvement in your symptoms.
Like all medications, Guardium may cause side effects, although not everyone gets them:
If you notice signs like difficulty breathing, swelling of the face, lips, or throat, stop using Guardium and get emergency help.
For a full list of side effects, check the patient information leaflet.
If you notice any side effects, inform your doctor or pharmacist, even if they are not listed here. You can also report side effects directly through the Yellow Card Scheme. Reporting helps to improve the understanding of this medication’s safety.
Active ingredient: Esomeprazole 20 mg (as esomeprazole magnesium).
Other ingredients: Glyceryl monostearate, Hyprolose, Magnesium stearate, Methacrylic acid-ethyl acrylate copolymer, Talc, Triethyl citrate, Titanium dioxide, Macrogol 400.
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A prescription isn’t needed in the UK for Guardium Acid Reflux Control and can be bought over the counter. You can buy Guardium from Click2Pharmacy’s online acid reflux clinic, and we offer quick delivery options to make sure you get your reflux medication quickly.
Guardium is intended for short-term use (up to 14 days). Speak to your GP or pharmacist if you need it for longer or if symptoms return soon after stopping.Guardium is intended for short-term use (up to 14 days). Speak to your GP or pharmacist if you need it for longer or if symptoms return soon after stopping.
Do not take Guardium with other PPIs or H2 blockers like ranitidine without checking with a GP or pharmacist.
You can take Guardium Acid Reflux Control and products like Gaviscon Advance on the same day, but not at the same time. Guardium works by reducing acid production in the stomach and is taken once daily, usually in the morning. Gaviscon acts as a protective barrier on top of your stomach contents to stop acid from rising, and can be used as needed, especially if you get breakthrough symptoms later in the day. Wait at least 1 hour after taking Guardium tablets before using Gaviscon. Taking them too close together may affect how well Guardium is absorbed.
Take Guardium before a meal, preferably in the morning.
Yes, antacids can be used while taking Guardium if you need fast relief, as Guardium does not work immediately. Avoid using other PPIs or H2 blockers at the same time.
As a precaution, avoid use in pregnancy or while breastfeeding. Speak to your doctor or pharmacist for further advice.
“If you’re having a flare-up of heartburn or acid reflux, Guardium can help settle things quickly. It’s designed for short-term relief and gives your stomach time to calm down while your symptoms ease.”
Dr Hussain Ahmad
Page content authored by Amjad Khan, last reviewed by Muhammad on 15th January 2026.



